FIRST 100 PRE-REGISTERED WILL RECEIVE A FREE T-SHIRT!!!
Pre-registration must be postmarked by: March 1, 2012
6th ANNUAL “EARLY BIRD SHOW”
MARCH 23, 24th 2012 Rain or Shine!!!
Located at the CityPark in Kilgore, Texas (downtown)
Hosted by the LONE STAR LUG NUTS Car Club
Benefiting the
Percy R. Johnson Burn Foundation Youth Camp: “I’m Still Me”
Registration begins at 6:30 P.M. Friday at the City Park, and continues until 10:00 A.M at the Park, Awards at 3:00 P. M.
Top 25 Choice Awards
Best of Show Car & Truck; Sponsor’s Choice; Ladies Choice; Club Choice; Percy Johnson Choice
And Many More Special Awards
Door Prizes; 50/50 Pot; Wipe-Out Board; Food and Music Galore, and More
Entertainment: Shake Rattle and Roll,
Jim Ward Sonyea Reeves Gary Morris
903-734-5193 903-235-2553 903-720-4733
Lmward1949@yahoo.com sonyear07@aol.com
Registration Fee: Car Show $25.00 – Make check payable to Lone Star Lug Nuts
Mail to: 804 N. Doma Street, White Oak, TX75693
Email Address:________________________________________________________
(do you prefer to be contacted by email or regular mail: email ____ regular ____)
Confirmation of registration sent by email only
Name: ____________________________________________________________________
Address: __________________________________________________________________
City: __________________ State: _____ Zip: __________ Phone # _________________
Year _____ Make _________________ Model ____________________________
Club _____________________________________________
T-shirt Size: M ___ L ___ XL ___ 2XL ____ Extra Shirts $15 each for M - XL $18 each for 2XL or larger
Total amount enclosed: ____________________
In consideration of the acceptance of the right to participate, entrants, participants and spectators, by execution of this form, release and discharge the Lone Star Lug Nuts, The Percy Johnson Burn Foundation, and the City of Kilgore representatives and anyone connected to the management or presentation of The Early Bird Show from any loss, damage, or injury to persons, vehicles or any articles while attending and participating in the Early Bird Show. I accept full responsibility for damages to me, my family or visitors. If unable to attend, no monies will be refunded. By signature below I agree to let pictures of myself and my car be used for publication.
________________________________ __________________